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Arizona rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $380.19 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $213.80 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $562.34 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $398.11 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $269.15 / $323.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $199.53 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $208.93 / $208.93